Facility Evaluation Report

Licensing Program Analyst (LPA) Ruth Martinez is conducting this unannounced visit for the purpose of completing an annual required inspection. LPA arrived at the facility and contact Gilber Singh, Administrator via telephone call and was informed Melissa Omectin, Assistant Administrator would be arriving shortly to facility. LPA was greeted by Assistant Administrator shortly after and was granted entry, LPA explained the nature of the visit.

Four clients reside at this facility, LPA was informed clients were out in the community. LPA accompanied with Assistant Administrator began the tour of the inside and outside of the facility. The facility is a two story home, LPA observed required department postings posted on the wall of facility. Facility stays within the capacity limitations. There is a minimum of one week of non-perishables foods and two days of perishables foods available. The facility is maintained at a comfortable temperature. LPA inspected that medication are centrally stored in a safe locked cabinet located in bedroom hallway. LPA reviewed medication and observed medication was labeled and stored inaccessible to clients in care. LPA inspected the bathroom and LPA measured the hot water temperature which measured 114.8 Fahrenheit degrees. All bathrooms observed to have a supply of soap, toilet paper and towels. The facility is equipped with sufficient hand hygiene, cleaning, and disinfecting supplies. LPA observed that toxic chemicals, cleaning solutions and disinfectants are stored locked in a hallway storage and in the garage. The facility has an available clean supply of linens. LPA inspected client’s bedrooms which has sufficient lighting to ensure the safety and comfort. All bedrooms observed to have all required components. Storage space is provided for clients in their bedroom. Smoke detectors were tested and found to be operational. LPA toured the outside of the facility and observed outdoor passageways are free of obstructions. LPA observed there is shaded seating areas for client’s enjoyment. LPA observed a fire extinguisher with service date of January 25, 2024, in kitchen. LPA verified fire drills conducted every three months. LPA began review of records. LPA reviewed four clients’ records. All